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57 [95% CI 5.87-7.37]) and between RR and the risk of mechanical ventilation. This U-shaped association was driven by patients' association with altered mental status (eg, OR of RR=12, 2.63 [95% CI 1.25-5.53]). For patients who have fever or shortness of breath, the risk of hospitalization increased monotonously with increased RR. U-shaped associations of RR with the risk of overall clinical outcomes were found. These associations varied across chief complaints. U-shaped associations of RR with the risk of overall clinical outcomes wer